Displaying 78621-78630 of 1611142 results.
ID:
78621
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78622
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78623
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78624
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78625
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78626
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78627
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78628
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78629
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78630
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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