Displaying 80851-80860 of 1611142 results.
ID:
80851
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80852
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80853
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
80854
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80855
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80856
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
80857
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80858
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
80859
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
80860
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
80851808528085380854808558085680857808588085980860