Displaying 76541-76550 of 1611142 results.
ID:
76541
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
76542
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
76543
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76544
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76545
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76546
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76547
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76548
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76549
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
76550
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76541765427654376544765457654676547765487654976550