Displaying 70511-70520 of 1611142 results.
ID:
70511
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70512
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70513
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70514
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70515
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70516
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70517
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
70518
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
180
ID:
70519
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
70520
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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