Displaying 177341-177350 of 1611142 results.
ID:
177341
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177342
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177343
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177344
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177345
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
177346
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
177347
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177348
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177349
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177350
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177341177342177343177344177345177346177347177348177349177350