Displaying 71931-71940 of 1611142 results.
ID:
71931
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71932
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71933
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71934
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
71935
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
71936
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
71937
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
71938
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71939
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71940
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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