Displaying 71301-71310 of 1611142 results.
ID:
71301
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71302
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71303
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71304
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71305
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71306
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71307
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
71308
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71309
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
71310
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
71301713027130371304713057130671307713087130971310