Displaying 73311-73320 of 1611142 results.
ID:
73311
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73312
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73313
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73314
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73315
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73316
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73317
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
73318
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
73319
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
73320
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
73311733127331373314733157331673317733187331973320