Displaying 87411-87420 of 1611142 results.
ID:
87411
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87412
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87413
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87414
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87415
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87416
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87417
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87418
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87419
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87420
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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