Displaying 86951-86960 of 1611142 results.
ID:
86951
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86952
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
86953
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
86954
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
86955
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86956
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
86957
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86958
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
86959
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
86960
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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