Displaying 7501-7510 of 1611142 results.
ID:
7501
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
7502
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
7503
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
4
ID:
7504
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
7505
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
7506
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
7507
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
7508
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
7509
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
7510
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
7501750275037504750575067507750875097510