Displaying 70741-70750 of 1611142 results.
ID:
70741
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
70742
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70743
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70744
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
70745
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
70746
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70747
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70748
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70749
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70750
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
70741707427074370744707457074670747707487074970750