Displaying 85041-85050 of 1611142 results.
ID:
85041
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
85042
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85043
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85044
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85045
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85046
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85047
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85048
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85049
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85050
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
85041850428504385044850458504685047850488504985050