Displaying 87251-87260 of 1611142 results.
ID:
87251
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87252
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87253
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87254
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87255
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
87256
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87257
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87258
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87259
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87260
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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