Displaying 64451-64460 of 1611142 results.
ID:
64451
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64452
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64453
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64454
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64455
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64456
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64457
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64458
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64459
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64460
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
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