Displaying 74021-74030 of 1611142 results.
ID:
74021
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74022
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74023
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
74024
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
74025
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74026
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74027
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74028
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74029
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74030
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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