Displaying 177711-177720 of 1611142 results.
ID:
177711
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177712
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177713
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177714
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177715
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177716
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177717
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177718
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
177719
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177720
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177711177712177713177714177715177716177717177718177719177720