Displaying 77061-77070 of 1611142 results.
ID:
77061
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77062
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77063
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77064
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77065
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77066
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
77067
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
77068
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77069
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77070
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
77061770627706377064770657706677067770687706977070