Displaying 70441-70450 of 1611142 results.
ID:
70441
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70442
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70443
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70444
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70445
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70446
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70447
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70448
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70449
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
70450
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
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