Displaying 79851-79860 of 1611142 results.
ID:
79851
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79852
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79853
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79854
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79855
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79856
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79857
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
79858
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
79859
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
79860
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
79851798527985379854798557985679857798587985979860