Displaying 80111-80120 of 1611142 results.
ID:
80111
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
80112
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80113
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80114
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80115
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80116
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
80117
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80118
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80119
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80120
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
80111801128011380114801158011680117801188011980120