Displaying 70861-70870 of 1611142 results.
ID:
70861
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70862
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70863
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
70864
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
70865
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70866
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70867
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70868
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70869
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70870
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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