Displaying 83001-83010 of 1611142 results.
ID:
83001
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83002
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83003
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
83004
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
83005
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
83006
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
83007
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83008
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
83009
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83010
Formulary ID:
00021029
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
83001830028300383004830058300683007830088300983010