Displaying 79111-79120 of 1611142 results.
ID:
79111
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79112
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79113
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
79114
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79115
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79116
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79117
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79118
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
79119
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
79120
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79111791127911379114791157911679117791187911979120