Displaying 86071-86080 of 1611142 results.
ID:
86071
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86072
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86073
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
86074
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
86075
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
86076
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
86077
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86078
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86079
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86080
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86071860728607386074860758607686077860788607986080