Displaying 81921-81930 of 1611142 results.
ID:
81921
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81922
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81923
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81924
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81925
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81926
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
81927
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
81928
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
81929
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
81930
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
81921819228192381924819258192681927819288192981930