Displaying 84111-84120 of 1611142 results.
ID:
84111
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84112
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84113
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84114
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84115
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84116
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84117
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84118
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84119
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84120
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
84111841128411384114841158411684117841188411984120