Displaying 75481-75490 of 1611142 results.
ID:
75481
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75482
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75483
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75484
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75485
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75486
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75487
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75488
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75489
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75490
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75481754827548375484754857548675487754887548975490