Displaying 62731-62740 of 1611142 results.
ID:
62731
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62732
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62733
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62734
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62735
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62736
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62737
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62738
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62739
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
62740
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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