Displaying 85431-85440 of 1611142 results.
ID:
85431
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85432
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1865962
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85433
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85434
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85435
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85436
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85437
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85438
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85439
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85440
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
85431854328543385434854358543685437854388543985440