Displaying 177381-177390 of 1611142 results.
ID:
177381
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
177382
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
177383
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
177384
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177385
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177386
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177387
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177388
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177389
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177390
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
177381177382177383177384177385177386177387177388177389177390