Displaying 73771-73780 of 1611142 results.
ID:
73771
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
73772
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73773
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73774
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73775
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73776
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73777
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73778
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73779
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73780
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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