Displaying 73391-73400 of 1611142 results.
ID:
73391
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73392
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73393
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73394
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73395
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73396
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73397
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73398
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73399
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
73400
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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