Displaying 178901-178910 of 1611142 results.
ID:
178901
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
178902
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178903
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178904
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178905
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178906
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178907
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178908
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178909
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178910
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
178901178902178903178904178905178906178907178908178909178910