Displaying 86101-86110 of 1611142 results.
ID:
86101
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
433800
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
86102
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
433799
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
86103
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
433801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
86104
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86105
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86106
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86107
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86108
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86109
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86110
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86101861028610386104861058610686107861088610986110