Displaying 79511-79520 of 1611142 results.
ID:
79511
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79512
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79513
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
79514
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
79515
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
79516
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79517
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
79518
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79519
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79520
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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