Displaying 79141-79150 of 1611142 results.
ID:
79141
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79142
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79143
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79144
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79145
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79146
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79147
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79148
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79149
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79150
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79141791427914379144791457914679147791487914979150