Displaying 70331-70340 of 1611142 results.
ID:
70331
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70332
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70333
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70334
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70335
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70336
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70337
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
70338
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70339
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70340
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
70331703327033370334703357033670337703387033970340