Displaying 86121-86130 of 1611142 results.
ID:
86121
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86122
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86123
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86124
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86125
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86126
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86127
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86128
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86129
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86130
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86121861228612386124861258612686127861288612986130