Displaying 87241-87250 of 1611142 results.
ID:
87241
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87242
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87243
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87244
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87245
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87246
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87247
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87248
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87249
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
87250
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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