Displaying 71641-71650 of 1611142 results.
ID:
71641
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71642
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71643
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71644
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71645
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71646
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71647
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71648
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
71649
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71650
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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