Displaying 176401-176410 of 1611142 results.
ID:
176401
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
176402
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176403
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
176404
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176405
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
176406
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
176407
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
176408
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176409
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176410
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
176401176402176403176404176405176406176407176408176409176410