Displaying 96721-96730 of 1611142 results.
ID:
96721
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96722
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96723
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96724
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96725
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96726
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96727
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040025
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
35
Qty Limit Days:
28
ID:
96728
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96729
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96730
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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