Displaying 70011-70020 of 1611142 results.
ID:
70011
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70012
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70013
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70014
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70015
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70016
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70017
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70018
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70019
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70020
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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