Displaying 62791-62800 of 1611142 results.
ID:
62791
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
62792
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
62793
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62794
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62795
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62796
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62797
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62798
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62799
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62800
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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