Displaying 71831-71840 of 1611142 results.
ID:
71831
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71832
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71833
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
71834
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71835
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71836
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71837
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71838
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71839
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71840
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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