Displaying 78301-78310 of 1611142 results.
ID:
78301
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78302
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78303
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78304
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78305
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78306
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78307
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78308
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78309
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78310
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78301783027830378304783057830678307783087830978310