Displaying 77141-77150 of 1611142 results.
ID:
77141
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
77142
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77143
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
77144
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77145
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77146
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77147
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77148
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77149
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77150
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77141771427714377144771457714677147771487714977150