Displaying 177901-177910 of 1611142 results.
ID:
177901
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
177902
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177903
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
177904
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
177905
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177906
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
177907
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177908
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177909
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
177910
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
177901177902177903177904177905177906177907177908177909177910