Displaying 64531-64540 of 1611142 results.
ID:
64531
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64532
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64533
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64534
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64535
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64536
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64537
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64538
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
64539
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64540
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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