Displaying 74371-74380 of 1611142 results.
ID:
74371
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74372
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74373
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
74374
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74375
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
30
ID:
74376
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74377
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
74378
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74379
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74380
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
74371743727437374374743757437674377743787437974380