Displaying 70361-70370 of 1611142 results.
ID:
70361
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70362
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70363
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70364
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70365
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70366
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70367
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70368
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70369
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70370
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
70361703627036370364703657036670367703687036970370