Displaying 74701-74710 of 1611142 results.
ID:
74701
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74702
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74703
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
74704
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
74705
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
74706
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74707
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
74708
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
74709
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
74710
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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