Displaying 78151-78160 of 1611142 results.
ID:
78151
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78152
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
994005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78153
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78154
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78155
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78156
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78157
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78158
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78159
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
78160
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78151781527815378154781557815678157781587815978160