Displaying 87481-87490 of 1611142 results.
ID:
87481
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87482
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87483
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87484
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87485
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87486
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
87487
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87488
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87489
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87490
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
87481874828748387484874858748687487874888748987490