Displaying 86271-86280 of 1611142 results.
ID:
86271
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86272
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86273
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86274
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86275
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86276
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86277
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86278
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86279
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86280
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86271862728627386274862758627686277862788627986280