Displaying 85391-85400 of 1611142 results.
ID:
85391
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85392
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85393
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
85394
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
994008
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85395
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85396
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85397
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85398
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85399
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85400
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
85391853928539385394853958539685397853988539985400