Displaying 74221-74230 of 1611142 results.
ID:
74221
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74222
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74223
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74224
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74225
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74226
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74227
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74228
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74229
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74230
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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