Displaying 74641-74650 of 1611142 results.
ID:
74641
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74642
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74643
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74644
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74645
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74646
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
74647
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
74648
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74649
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
74650
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
74641746427464374644746457464674647746487464974650