Displaying 86551-86560 of 1611142 results.
ID:
86551
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
86552
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
86553
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666545
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86554
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86555
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86556
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380617
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
86557
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86558
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86559
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
86560
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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