Displaying 63611-63620 of 1611142 results.
ID:
63611
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
63612
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
63613
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63614
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
63615
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
63616
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
63617
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
63618
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
63619
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
63620
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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