Displaying 63271-63280 of 1611142 results.
ID:
63271
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63272
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63273
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63274
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63275
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63276
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63277
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63278
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63279
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63280
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
63271632726327363274632756327663277632786327963280