Displaying 63311-63320 of 1611142 results.
ID:
63311
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63312
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63313
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63314
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63315
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63316
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
63317
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
63318
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
63319
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63320
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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