Displaying 84881-84890 of 1611142 results.
ID:
84881
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84882
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
4
ID:
84883
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
84884
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84885
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84886
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84887
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
84888
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
84889
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
84890
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
84881848828488384884848858488684887848888488984890