Displaying 86051-86060 of 1611142 results.
ID:
86051
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
86052
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
86053
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
ID:
86054
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86055
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86056
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86057
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86058
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86059
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86060
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86051860528605386054860558605686057860588605986060