Displaying 72161-72170 of 1611142 results.
ID:
72161
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72162
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72163
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72164
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72165
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72166
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72167
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72168
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72169
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
72170
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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