Displaying 62781-62790 of 1611142 results.
ID:
62781
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
62782
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62783
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62784
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62785
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62786
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62787
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
4
ID:
62788
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62789
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62790
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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