Displaying 179401-179410 of 1611142 results.
ID:
179401
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179402
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
179403
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179404
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179405
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179406
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179407
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179408
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179409
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179410
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
179401179402179403179404179405179406179407179408179409179410