Displaying 78061-78070 of 1611142 results.
ID:
78061
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78062
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78063
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
78064
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
78065
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
78066
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78067
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78068
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78069
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78070
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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