Displaying 75761-75770 of 1611142 results.
ID:
75761
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75762
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
75763
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75764
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75765
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75766
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75767
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75768
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75769
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
75770
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
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