Displaying 85461-85470 of 1611142 results.
ID:
85461
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85462
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85463
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85464
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
85465
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
85466
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
85467
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85468
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85469
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85470
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
85461854628546385464854658546685467854688546985470