Displaying 74461-74470 of 1611142 results.
ID:
74461
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74462
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74463
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74464
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74465
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74466
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74467
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74468
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74469
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
74470
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
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