Displaying 64931-64940 of 1611142 results.
ID:
64931
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64932
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64933
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64934
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64935
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64936
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64937
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
64938
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
ID:
64939
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64940
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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