Displaying 78571-78580 of 1611142 results.
ID:
78571
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78572
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78573
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78574
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78575
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78576
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78577
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78578
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78579
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78580
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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