Displaying 78031-78040 of 1611142 results.
ID:
78031
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78032
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
700408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78033
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
78034
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197654
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78035
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78036
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
78037
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78038
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78039
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78040
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78031780327803378034780357803678037780387803978040