Displaying 63431-63440 of 1611142 results.
ID:
63431
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63432
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
63433
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63434
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
63435
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63436
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63437
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63438
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
63439
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63440
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63431634326343363434634356343663437634386343963440