Displaying 83401-83410 of 1611142 results.
ID:
83401
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83402
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83403
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83404
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83405
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
83406
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83407
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83408
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
83409
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
83410
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
83401834028340383404834058340683407834088340983410