Displaying 178771-178780 of 1611142 results.
ID:
178771
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178772
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178773
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178774
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
178775
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178776
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178777
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178778
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178779
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
178780
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
178771178772178773178774178775178776178777178778178779178780