Displaying 71371-71380 of 1611142 results.
ID:
71371
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71372
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71373
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71374
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71375
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71376
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71377
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71378
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71379
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71380
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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