Displaying 72841-72850 of 1611142 results.
ID:
72841
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72842
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72843
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72844
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
72845
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72846
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72847
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72848
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
72849
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
72850
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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