Displaying 72981-72990 of 1611142 results.
ID:
72981
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
72982
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72983
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72984
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
72985
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
72986
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
72987
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72988
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72989
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
72990
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
72981729827298372984729857298672987729887298972990