Displaying 61-70 of 1611142 results.
ID:
61
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
68
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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