Displaying 79131-79140 of 1611142 results.
ID:
79131
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79132
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
79133
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79134
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79135
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79136
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79137
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79138
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79139
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79140
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
79131791327913379134791357913679137791387913979140