Displaying 76041-76050 of 1611142 results.
ID:
76041
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
76042
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
76043
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
76044
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76045
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76046
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76047
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76048
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76049
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76050
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76041760427604376044760457604676047760487604976050