Displaying 86651-86660 of 1611142 results.
ID:
86651
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
86652
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
86653
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
86654
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
86655
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86656
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86657
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86658
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86659
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
86660
Formulary ID:
00021030
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
86651866528665386654866558665686657866588665986660