Displaying 76261-76270 of 1611142 results.
ID:
76261
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76262
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76263
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76264
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76265
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76266
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76267
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76268
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76269
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76270
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76261762627626376264762657626676267762687626976270