Displaying 77381-77390 of 1611142 results.
ID:
77381
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77382
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77383
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
77384
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77385
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77386
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77387
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77388
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77389
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77390
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77381773827738377384773857738677387773887738977390