Displaying 79191-79200 of 1611142 results.
ID:
79191
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79192
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79193
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79194
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79195
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79196
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79197
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79198
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79199
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79200
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79191791927919379194791957919679197791987919979200