Displaying 178801-178810 of 1611142 results.
ID:
178801
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178802
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178803
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178804
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178805
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178806
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178807
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178808
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
178809
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
178810
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
178801178802178803178804178805178806178807178808178809178810