Displaying 87691-87700 of 1611142 results.
ID:
87691
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
87692
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87693
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87694
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87695
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87696
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
87697
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87698
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87699
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
87700
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
87691876928769387694876958769687697876988769987700