Displaying 96781-96790 of 1611142 results.
ID:
96781
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96782
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96783
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
96784
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96785
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96786
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96787
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96788
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96789
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96790
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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