Displaying 77161-77170 of 1611142 results.
ID:
77161
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77162
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77163
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
795918
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77164
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77165
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77166
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77167
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77168
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77169
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77170
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
77161771627716377164771657716677167771687716977170