Displaying 87601-87610 of 1611142 results.
ID:
87601
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87602
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
87603
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
87604
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
87605
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87606
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87607
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87608
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87609
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87610
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
87601876028760387604876058760687607876088760987610