Displaying 72241-72250 of 1611142 results.
ID:
72241
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
312
Qty Limit Days:
30
ID:
72242
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72243
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72244
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
72245
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72246
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72247
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72248
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72249
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72250
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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