Displaying 76511-76520 of 1611142 results.
ID:
76511
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76512
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76513
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76514
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76515
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76516
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76517
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76518
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76519
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76520
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76511765127651376514765157651676517765187651976520