Displaying 76671-76680 of 1611142 results.
ID:
76671
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76672
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76673
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76674
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76675
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76676
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76677
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76678
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76679
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
892246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
76680
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
966248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
76671766727667376674766757667676677766787667976680