Displaying 62711-62720 of 1611142 results.
ID:
62711
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62712
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62713
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
62714
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62715
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62716
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
62717
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
62718
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62719
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62720
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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