Displaying 87761-87770 of 1611142 results.
ID:
87761
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87762
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87763
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87764
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87765
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87766
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87767
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
87768
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87769
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87770
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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