Displaying 73401-73410 of 1611142 results.
ID:
73401
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
73402
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73403
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73404
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73405
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
73406
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73407
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73408
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73409
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73410
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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