Displaying 74601-74610 of 1611142 results.
ID:
74601
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74602
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74603
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74604
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74605
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74606
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74607
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
74608
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74609
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
74610
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
74601746027460374604746057460674607746087460974610