Displaying 177251-177260 of 1611142 results.
ID:
177251
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
177252
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177253
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177254
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177255
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177256
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177257
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
177258
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
177259
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
177260
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177251177252177253177254177255177256177257177258177259177260