Displaying 87321-87330 of 1611142 results.
ID:
87321
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87322
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87323
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87324
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87325
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87326
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
87327
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87328
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87329
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87330
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
87321873228732387324873258732687327873288732987330