Displaying 76611-76620 of 1611142 results.
ID:
76611
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76612
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76613
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76614
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76615
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76616
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76617
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76618
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76619
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76620
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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