Displaying 83801-83810 of 1611142 results.
ID:
83801
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83802
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83803
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83804
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83805
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83806
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83807
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
83808
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
83809
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
83810
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
83801838028380383804838058380683807838088380983810