Displaying 86581-86590 of 1611142 results.
ID:
86581
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86582
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86583
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
86584
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86585
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86586
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86587
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86588
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86589
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86590
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86581865828658386584865858658686587865888658986590