Displaying 78251-78260 of 1611142 results.
ID:
78251
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78252
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78253
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78254
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78255
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78256
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78257
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78258
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
78259
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
78260
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78251782527825378254782557825678257782587825978260