Displaying 70371-70380 of 1611142 results.
ID:
70371
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70372
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70373
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70374
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70375
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
70376
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70377
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70378
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70379
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70380
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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