Displaying 76631-76640 of 1611142 results.
ID:
76631
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
76632
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76633
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76634
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76635
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76636
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76637
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76638
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76639
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76640
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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