Displaying 63041-63050 of 1611142 results.
ID:
63041
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63042
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63043
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63044
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63045
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63046
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63047
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63048
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63049
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63050
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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