Displaying 73951-73960 of 1611142 results.
ID:
73951
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73952
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73953
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73954
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73955
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73956
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
73957
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
73958
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73959
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
73960
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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