Displaying 75491-75500 of 1611142 results.
ID:
75491
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75492
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75493
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75494
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75495
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75496
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75497
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
75498
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75499
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
75500
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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