Displaying 75501-75510 of 1611142 results.
ID:
75501
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
75502
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75503
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75504
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75505
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
75506
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
75507
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
75508
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75509
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75510
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75501755027550375504755057550675507755087550975510