Displaying 78681-78690 of 1611142 results.
ID:
78681
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78682
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78683
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78684
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78685
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78686
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78687
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78688
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78689
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
78690
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78681786827868378684786857868678687786887868978690