Displaying 87931-87940 of 1611142 results.
ID:
87931
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87932
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87933
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87934
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87935
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
87936
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87937
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87938
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87939
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
87940
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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