Displaying 75271-75280 of 1611142 results.
ID:
75271
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75272
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75273
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75274
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75275
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75276
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75277
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75278
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75279
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75280
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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