Displaying 63761-63770 of 1611142 results.
ID:
63761
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63762
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63763
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63764
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63765
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63766
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63767
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63768
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
63769
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
63770
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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