Displaying 177801-177810 of 1611142 results.
ID:
177801
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
177802
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177803
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177804
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177805
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177806
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
177807
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
177808
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
177809
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177810
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177801177802177803177804177805177806177807177808177809177810