Displaying 74351-74360 of 1611142 results.
ID:
74351
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
74352
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
74353
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
74354
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
74355
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
74356
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
74357
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
74358
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74359
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74360
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
74351743527435374354743557435674357743587435974360