Displaying 78911-78920 of 1611142 results.
ID:
78911
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78912
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78913
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78914
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78915
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78916
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78917
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78918
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
78919
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
78920
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
78911789127891378914789157891678917789187891978920