Displaying 78921-78930 of 1611142 results.
ID:
78921
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78922
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78923
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78924
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78925
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78926
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78927
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78928
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78929
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78930
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
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