Displaying 87351-87360 of 1611142 results.
ID:
87351
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87352
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87353
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87354
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87355
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87356
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87357
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87358
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87359
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87360
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
87351873528735387354873558735687357873588735987360