Displaying 70781-70790 of 1611142 results.
ID:
70781
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70782
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70783
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70784
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70785
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70786
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
70787
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70788
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70789
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70790
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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