Displaying 81581-81590 of 1611142 results.
ID:
81581
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
81582
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81583
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81584
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81585
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81586
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
81587
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81588
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81589
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81590
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
81581815828158381584815858158681587815888158981590