Displaying 79381-79390 of 1611142 results.
ID:
79381
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
79382
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
ID:
79383
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79384
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79385
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79386
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79387
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79388
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79389
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79390
Formulary ID:
00021028
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79381793827938379384793857938679387793887938979390