Displaying 84181-84190 of 1611142 results.
ID:
84181
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84182
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84183
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
84184
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84185
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84186
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84187
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84188
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84189
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84190
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
84181841828418384184841858418684187841888418984190