Displaying 63521-63530 of 1611142 results.
ID:
63521
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63522
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63523
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63524
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63525
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63526
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63527
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63528
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63529
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63530
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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