Displaying 88301-88310 of 1611142 results.
ID:
88301
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
88302
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88303
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88304
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88305
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88306
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88307
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88308
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88309
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88310
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
88301883028830388304883058830688307883088830988310