Displaying 86721-86730 of 1611142 results.
ID:
86721
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
86722
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
86723
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86724
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
86725
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
86726
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
86727
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86728
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
86729
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
86730
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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