Displaying 178491-178500 of 1611142 results.
ID:
178491
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
178492
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
178493
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
178494
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178495
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178496
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178497
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178498
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178499
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178500
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
178491178492178493178494178495178496178497178498178499178500