Displaying 78491-78500 of 1611142 results.
ID:
78491
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78492
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78493
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78494
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78495
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78496
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78497
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78498
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78499
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
476872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78500
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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