Displaying 177681-177690 of 1611142 results.
ID:
177681
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177682
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177683
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177684
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177685
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177686
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177687
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177688
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177689
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177690
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177681177682177683177684177685177686177687177688177689177690