Displaying 177371-177380 of 1611142 results.
ID:
177371
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177372
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177373
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177374
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177375
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177376
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177377
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
177378
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
177379
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
177380
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
177371177372177373177374177375177376177377177378177379177380