Displaying 1071-1080 of 1611142 results.
ID:
1071
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1072
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1073
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
1074
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1075
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1076
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1077
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1078
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1079
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1080
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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