Displaying 81601-81610 of 1611142 results.
ID:
81601
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
81602
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81603
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81604
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81605
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81606
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81607
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81608
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81609
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81610
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
81601816028160381604816058160681607816088160981610