Displaying 78381-78390 of 1611142 results.
ID:
78381
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
78382
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
78383
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78384
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78385
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78386
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78387
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78388
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78389
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78390
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78381783827838378384783857838678387783887838978390