Displaying 77351-77360 of 1611142 results.
ID:
77351
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
77352
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
77353
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77354
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77355
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77356
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77357
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77358
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77359
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77360
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
799048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77351773527735377354773557735677357773587735977360