Displaying 77221-77230 of 1611142 results.
ID:
77221
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77222
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77223
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77224
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77225
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77226
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77227
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77228
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77229
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77230
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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