Displaying 75241-75250 of 1611142 results.
ID:
75241
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75242
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75243
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75244
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75245
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75246
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75247
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75248
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75249
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75250
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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