Displaying 80401-80410 of 1611142 results.
ID:
80401
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80402
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80403
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80404
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80405
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80406
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80407
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80408
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80409
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80410
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
80401804028040380404804058040680407804088040980410