Displaying 77681-77690 of 1611142 results.
ID:
77681
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77682
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77683
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
77684
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77685
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
77686
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
77687
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77688
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
77689
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
77690
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
77681776827768377684776857768677687776887768977690