Displaying 86441-86450 of 1611142 results.
ID:
86441
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
86442
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86443
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
86444
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
86445
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86446
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86447
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86448
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86449
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86450
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86441864428644386444864458644686447864488644986450