Displaying 82501-82510 of 1611142 results.
ID:
82501
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82502
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82503
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82504
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82505
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
82506
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
82507
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82508
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82509
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
82510
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
82501825028250382504825058250682507825088250982510