Displaying 70871-70880 of 1611142 results.
ID:
70871
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70872
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70873
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70874
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
70875
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
70876
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70877
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70878
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70879
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806890
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
70880
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2184126
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
70871708727087370874708757087670877708787087970880