Displaying 63021-63030 of 1611142 results.
ID:
63021
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63022
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63023
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63024
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63025
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63026
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
63027
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63028
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63029
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63030
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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