Displaying 75261-75270 of 1611142 results.
ID:
75261
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75262
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75263
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75264
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
433798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
75265
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
433800
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
75266
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
433799
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
75267
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
433801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
75268
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75269
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75270
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75261752627526375264752657526675267752687526975270