Displaying 76431-76440 of 1611142 results.
ID:
76431
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76432
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
76433
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76434
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76435
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76436
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76437
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76438
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76439
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76440
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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