Displaying 78971-78980 of 1611142 results.
ID:
78971
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78972
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78973
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78974
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
78975
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78976
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78977
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78978
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78979
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78980
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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