Displaying 76971-76980 of 1611142 results.
ID:
76971
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76972
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
994237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
76973
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76974
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76975
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76976
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
76977
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76978
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76979
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76980
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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