Displaying 63421-63430 of 1611142 results.
ID:
63421
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63422
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63423
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63424
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
63425
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63426
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63427
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63428
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
63429
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
63430
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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