Displaying 177701-177710 of 1611142 results.
ID:
177701
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177702
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177703
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177704
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177705
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177706
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177707
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177708
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177709
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177710
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
177701177702177703177704177705177706177707177708177709177710