Displaying 62761-62770 of 1611142 results.
ID:
62761
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62762
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62763
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62764
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62765
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62766
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62767
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62768
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62769
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62770
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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