Displaying 75141-75150 of 1611142 results.
ID:
75141
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
75142
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75143
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75144
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75145
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75146
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75147
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75148
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75149
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75150
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75141751427514375144751457514675147751487514975150