Displaying 71531-71540 of 1611142 results.
ID:
71531
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71532
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71533
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71534
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71535
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71536
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71537
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71538
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71539
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71540
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
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