Displaying 77111-77120 of 1611142 results.
ID:
77111
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
77112
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
77113
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77114
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77115
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77116
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77117
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77118
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77119
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77120
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77111771127711377114771157711677117771187711977120