Displaying 64641-64650 of 1611142 results.
ID:
64641
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64642
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64643
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64644
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64645
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64646
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64647
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64648
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64649
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64650
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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