Displaying 177241-177250 of 1611142 results.
ID:
177241
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177242
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177243
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177244
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177245
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177246
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177247
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177248
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
177249
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
90
ID:
177250
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
177241177242177243177244177245177246177247177248177249177250