Displaying 72601-72610 of 1611142 results.
ID:
72601
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72602
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
72603
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72604
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
72605
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
72606
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
72607
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
72608
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
72609
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
72610
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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