Displaying 73121-73130 of 1611142 results.
ID:
73121
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73122
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73123
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73124
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73125
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73126
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73127
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73128
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73129
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73130
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
73121731227312373124731257312673127731287312973130