Displaying 73541-73550 of 1611142 results.
ID:
73541
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73542
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
73543
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
73544
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73545
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73546
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73547
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73548
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73549
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73550
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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