Displaying 77461-77470 of 1611142 results.
ID:
77461
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77462
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77463
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
77464
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77465
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
77466
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77467
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77468
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77469
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77470
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
77461774627746377464774657746677467774687746977470