Displaying 73731-73740 of 1611142 results.
ID:
73731
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
73732
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
73733
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73734
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73735
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73736
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73737
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
73738
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
73739
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
73740
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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