Displaying 63961-63970 of 1611142 results.
ID:
63961
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63962
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63963
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63964
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63965
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63966
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63967
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63968
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63969
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
63970
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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