Displaying 87531-87540 of 1611142 results.
ID:
87531
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
87532
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
87533
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
87534
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87535
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87536
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87537
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87538
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87539
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87540
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
87531875328753387534875358753687537875388753987540