Displaying 87031-87040 of 1611142 results.
ID:
87031
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
87032
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87033
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87034
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87035
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87036
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87037
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87038
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87039
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87040
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
87031870328703387034870358703687037870388703987040