Displaying 87551-87560 of 1611142 results.
ID:
87551
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87552
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87553
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87554
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87555
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
87556
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87557
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87558
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
87559
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
87560
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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