Displaying 64211-64220 of 1611142 results.
ID:
64211
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64212
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64213
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64214
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64215
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64216
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64217
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64218
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64219
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64220
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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