Displaying 63441-63450 of 1611142 results.
ID:
63441
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63442
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63443
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63444
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63445
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63446
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63447
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63448
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63449
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63450
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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