Displaying 76191-76200 of 1611142 results.
ID:
76191
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
76192
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
76193
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
76194
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
76195
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
76196
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76197
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76198
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76199
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76200
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76191761927619376194761957619676197761987619976200