Displaying 64121-64130 of 1611142 results.
ID:
64121
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
64122
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
64123
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64124
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64125
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64126
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64127
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64128
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64129
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64130
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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