Displaying 72231-72240 of 1611142 results.
ID:
72231
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
72232
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72233
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
72234
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
72235
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
168
ID:
72236
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72237
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
72238
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487076
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
72239
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72240
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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