Displaying 75281-75290 of 1611142 results.
ID:
75281
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
75282
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75283
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75284
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75285
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75286
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75287
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75288
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75289
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75290
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75281752827528375284752857528675287752887528975290