Displaying 86371-86380 of 1611142 results.
ID:
86371
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
86372
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86373
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86374
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86375
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
86376
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86377
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86378
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86379
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86380
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86371863728637386374863758637686377863788637986380