Displaying 79921-79930 of 1611142 results.
ID:
79921
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79922
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79923
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
79924
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79925
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79926
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79927
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79928
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79929
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79930
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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