Displaying 62871-62880 of 1611142 results.
ID:
62871
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62872
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62873
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62874
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62875
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
62876
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62877
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62878
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62879
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62880
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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