Displaying 75361-75370 of 1611142 results.
ID:
75361
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75362
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
75363
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75364
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75365
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75366
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75367
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75368
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75369
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75370
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75361753627536375364753657536675367753687536975370