Displaying 79771-79780 of 1611142 results.
ID:
79771
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79772
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79773
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79774
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79775
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79776
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79777
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79778
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
79779
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79780
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79771797727977379774797757977679777797787977979780