Displaying 62531-62540 of 1611142 results.
ID:
62531
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62532
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62533
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62534
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62535
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62536
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62537
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62538
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
62539
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
62540
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
62531625326253362534625356253662537625386253962540