Displaying 75831-75840 of 1611142 results.
ID:
75831
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75832
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
75833
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
75834
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
75835
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
75836
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
75837
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
75838
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
75839
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
75840
Formulary ID:
00021026
Formulary Version:
14
Contract Year:
2021
RXCUI:
2286261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75831758327583375834758357583675837758387583975840