Displaying 71651-71660 of 1611142 results.
ID:
71651
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71652
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
433798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
71653
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
433800
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
71654
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
433799
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
71655
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
433801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
71656
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71657
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71658
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71659
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71660
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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