Displaying 71291-71300 of 1611142 results.
ID:
71291
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71292
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
71293
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71294
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71295
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71296
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71297
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71298
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71299
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71300
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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