Displaying 85771-85780 of 1611142 results.
ID:
85771
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
85772
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
85773
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
85774
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
85775
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
85776
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85777
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
85778
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
85779
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
85780
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
85771857728577385774857758577685777857788577985780