Displaying 71-80 of 1611142 results.
ID:
71
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
72
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
80
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
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