Displaying 72741-72750 of 1611142 results.
ID:
72741
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72742
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72743
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72744
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72745
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72746
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72747
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72748
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72749
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72750
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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