Displaying 73861-73870 of 1611142 results.
ID:
73861
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73862
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73863
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73864
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73865
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73866
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73867
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73868
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73869
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73870
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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