Displaying 75961-75970 of 1611142 results.
ID:
75961
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75962
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75963
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75964
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75965
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75966
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75967
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75968
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
ID:
75969
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
75970
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
75961759627596375964759657596675967759687596975970