Displaying 71951-71960 of 1611142 results.
ID:
71951
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
71952
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71953
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71954
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71955
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71956
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71957
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71958
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71959
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71960
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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