Displaying 74441-74450 of 1611142 results.
ID:
74441
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74442
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74443
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74444
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74445
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74446
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
74447
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
74448
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74449
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74450
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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