Displaying 73141-73150 of 1611142 results.
ID:
73141
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73142
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73143
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
73144
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
73145
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
73146
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
73147
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
73148
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
73149
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
73150
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
73141731427314373144731457314673147731487314973150