Displaying 63051-63060 of 1611142 results.
ID:
63051
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63052
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63053
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63054
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63055
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63056
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63057
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63058
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63059
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63060
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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