Displaying 86291-86300 of 1611142 results.
ID:
86291
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86292
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86293
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86294
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86295
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86296
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86297
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86298
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86299
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86300
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
86291862928629386294862958629686297862988629986300