Displaying 84681-84690 of 1611142 results.
ID:
84681
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84682
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
84683
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
84684
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84685
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84686
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84687
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
84688
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84689
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84690
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
84681846828468384684846858468684687846888468984690