Displaying 76711-76720 of 1611142 results.
ID:
76711
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76712
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76713
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76714
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76715
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76716
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76717
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76718
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76719
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
76720
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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