Displaying 78691-78700 of 1611142 results.
ID:
78691
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78692
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78693
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78694
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78695
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78696
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78697
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78698
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78699
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78700
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78691786927869378694786957869678697786987869978700