Displaying 178011-178020 of 1611142 results.
ID:
178011
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178012
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178013
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178014
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178015
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178016
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178017
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178018
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178019
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178020
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
178011178012178013178014178015178016178017178018178019178020