Displaying 74571-74580 of 1611142 results.
ID:
74571
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74572
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74573
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74574
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74575
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74576
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74577
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74578
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74579
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74580
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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