Displaying 77101-77110 of 1611142 results.
ID:
77101
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77102
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77103
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77104
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77105
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
77106
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77107
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77108
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
77109
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
77110
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
77101771027710377104771057710677107771087710977110