Displaying 78051-78060 of 1611142 results.
ID:
78051
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78052
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78053
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78054
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78055
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78056
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78057
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78058
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
78059
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
78060
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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