Displaying 84131-84140 of 1611142 results.
ID:
84131
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84132
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84133
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84134
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84135
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84136
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84137
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84138
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84139
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84140
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
84131841328413384134841358413684137841388413984140