Displaying 86901-86910 of 1611142 results.
ID:
86901
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86902
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
86903
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86904
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86905
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
86906
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
86907
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
86908
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86909
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86910
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
86901869028690386904869058690686907869088690986910