Displaying 8501-8510 of 1611142 results.
ID:
8501
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
8502
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
8503
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
8504
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
8505
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
8506
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
8507
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8508
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8509
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
8510
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
8501850285038504850585068507850885098510