Displaying 79231-79240 of 1611142 results.
ID:
79231
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
79232
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
79233
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79234
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79235
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79236
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
79237
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79238
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79239
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79240
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79231792327923379234792357923679237792387923979240