Displaying 77121-77130 of 1611142 results.
ID:
77121
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77122
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77123
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77124
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77125
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
77126
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77127
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77128
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77129
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77130
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77121771227712377124771257712677127771287712977130