Displaying 177101-177110 of 1611142 results.
ID:
177101
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177102
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177103
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177104
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
177105
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177106
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
177107
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177108
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177109
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177110
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177101177102177103177104177105177106177107177108177109177110