Displaying 87331-87340 of 1611142 results.
ID:
87331
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
87332
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
87333
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
87334
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
87335
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
87336
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87337
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87338
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87339
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87340
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
87331873328733387334873358733687337873388733987340