Displaying 81301-81310 of 1611142 results.
ID:
81301
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81302
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
81303
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81304
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81305
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81306
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
81307
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81308
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81309
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81310
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
81301813028130381304813058130681307813088130981310