Displaying 79801-79810 of 1611142 results.
ID:
79801
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
79802
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
79803
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
79804
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
79805
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
79806
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
79807
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
79808
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79809
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
79810
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
79801798027980379804798057980679807798087980979810