Displaying 87671-87680 of 1611142 results.
ID:
87671
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87672
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87673
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
87674
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87675
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87676
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
87677
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
87678
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87679
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87680
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
87671876728767387674876758767687677876788767987680