Displaying 86361-86370 of 1611142 results.
ID:
86361
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86362
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
86363
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
86364
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
86365
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
86366
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
86367
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
86368
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86369
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86370
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
86361863628636386364863658636686367863688636986370