Displaying 63251-63260 of 1611142 results.
ID:
63251
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63252
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63253
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63254
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63255
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63256
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63257
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63258
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63259
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63260
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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