Displaying 72021-72030 of 1611142 results.
ID:
72021
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72022
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72023
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72024
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72025
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72026
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72027
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72028
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
72029
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2393794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
72030
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121764
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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