Displaying 178671-178680 of 1611142 results.
ID:
178671
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178672
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178673
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178674
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178675
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178676
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178677
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178678
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178679
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178680
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
178671178672178673178674178675178676178677178678178679178680