Displaying 62551-62560 of 1611142 results.
ID:
62551
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62552
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62553
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62554
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62555
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62556
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62557
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62558
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62559
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
62560
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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