Displaying 74161-74170 of 1611142 results.
ID:
74161
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
74162
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
74163
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74164
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74165
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74166
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74167
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74168
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74169
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74170
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
74161741627416374164741657416674167741687416974170