Displaying 63631-63640 of 1611142 results.
ID:
63631
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63632
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63633
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
63634
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
63635
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
63636
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
84
ID:
63637
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63638
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63639
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
63640
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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