Displaying 76011-76020 of 1611142 results.
ID:
76011
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76012
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76013
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76014
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76015
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76016
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76017
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76018
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76019
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76020
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76011760127601376014760157601676017760187601976020