Displaying 70231-70240 of 1611142 results.
ID:
70231
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70232
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70233
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70234
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
70235
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70236
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70237
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70238
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70239
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
70240
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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