Displaying 75121-75130 of 1611142 results.
ID:
75121
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75122
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75123
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75124
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75125
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75126
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75127
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
75128
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
75129
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
75130
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
75121751227512375124751257512675127751287512975130