Displaying 87371-87380 of 1611142 results.
ID:
87371
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87372
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87373
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87374
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87375
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
87376
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87377
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87378
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87379
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87380
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
87371873728737387374873758737687377873788737987380