Displaying 78201-78210 of 1611142 results.
ID:
78201
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
78202
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78203
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78204
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78205
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78206
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78207
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78208
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78209
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78210
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78201782027820378204782057820678207782087820978210