Displaying 70621-70630 of 1611142 results.
ID:
70621
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70622
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70623
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70624
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70625
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70626
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70627
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70628
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70629
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
70630
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
56
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