Displaying 84601-84610 of 1611142 results.
ID:
84601
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
84602
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84603
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84604
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84605
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84606
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84607
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
84608
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84609
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84610
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
84601846028460384604846058460684607846088460984610