Displaying 77301-77310 of 1611142 results.
ID:
77301
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
77302
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
77303
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
77304
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
77305
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
77306
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77307
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77308
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77309
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77310
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77301773027730377304773057730677307773087730977310