Displaying 177301-177310 of 1611142 results.
ID:
177301
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177302
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177303
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177304
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177305
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177306
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177307
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177308
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
177309
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
177310
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
177301177302177303177304177305177306177307177308177309177310