Displaying 79711-79720 of 1611142 results.
ID:
79711
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
79712
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
79713
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
79714
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79715
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79716
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
79717
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79718
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79719
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79720
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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