Displaying 62511-62520 of 1611142 results.
ID:
62511
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62512
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62513
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62514
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
62515
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62516
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62517
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62518
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62519
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62520
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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