Displaying 72691-72700 of 1611142 results.
ID:
72691
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72692
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72693
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72694
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72695
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72696
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72697
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72698
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72699
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
72700
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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