Displaying 72641-72650 of 1611142 results.
ID:
72641
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
857461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72642
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72643
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
72644
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72645
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72646
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72647
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72648
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72649
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72650
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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