Displaying 78601-78610 of 1611142 results.
ID:
78601
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78602
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78603
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78604
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78605
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78606
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
78607
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78608
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78609
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78610
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78601786027860378604786057860678607786087860978610