Displaying 70271-70280 of 1611142 results.
ID:
70271
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70272
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70273
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
70274
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
70275
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70276
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70277
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70278
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70279
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70280
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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