Displaying 76031-76040 of 1611142 results.
ID:
76031
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
76032
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
ID:
76033
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76034
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
76035
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
76036
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
76037
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
76038
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76039
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76040
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
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