Displaying 177871-177880 of 1611142 results.
ID:
177871
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177872
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177873
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177874
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177875
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177876
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
177877
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177878
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177879
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
177880
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
126
Qty Limit Days:
28
177871177872177873177874177875177876177877177878177879177880