Displaying 77411-77420 of 1611142 results.
ID:
77411
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77412
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77413
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77414
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77415
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77416
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77417
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
77418
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
77419
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77420
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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