Displaying 77311-77320 of 1611142 results.
ID:
77311
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77312
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77313
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77314
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77315
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77316
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77317
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77318
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77319
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77320
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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