Displaying 78981-78990 of 1611142 results.
ID:
78981
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78982
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78983
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78984
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78985
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78986
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78987
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78988
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78989
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78990
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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