Displaying 176501-176510 of 1611142 results.
ID:
176501
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176502
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
176503
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176504
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176505
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
672152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
176506
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176507
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176508
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176509
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176510
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
176501176502176503176504176505176506176507176508176509176510