Displaying 75331-75340 of 1611142 results.
ID:
75331
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75332
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75333
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75334
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75335
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75336
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75337
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75338
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75339
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
75340
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75331753327533375334753357533675337753387533975340