Displaying 87851-87860 of 1611142 results.
ID:
87851
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87852
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87853
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
87854
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87855
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87856
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87857
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87858
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87859
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
87860
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
87851878528785387854878558785687857878588785987860