Displaying 177011-177020 of 1611142 results.
ID:
177011
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177012
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177013
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177014
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177015
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177016
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
177017
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
177018
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177019
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177020
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177011177012177013177014177015177016177017177018177019177020