Displaying 177501-177510 of 1611142 results.
ID:
177501
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177502
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177503
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177504
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177505
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177506
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177507
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
177508
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177509
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
177510
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
177501177502177503177504177505177506177507177508177509177510