Displaying 76601-76610 of 1611142 results.
ID:
76601
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76602
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76603
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
76604
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
76605
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
76606
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
76607
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
76608
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76609
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76610
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76601766027660376604766057660676607766087660976610