Displaying 86311-86320 of 1611142 results.
ID:
86311
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86312
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86313
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86314
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
854894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
86315
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
854880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
86316
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86317
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86318
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86319
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86320
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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