Displaying 8171-8180 of 1611142 results.
ID:
8171
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
8172
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
8173
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8174
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
8175
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
8176
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8177
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
8178
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
8179
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
8180
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
8171817281738174817581768177817881798180