Displaying 88421-88430 of 1611142 results.
ID:
88421
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88422
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88423
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88424
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88425
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88426
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88427
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88428
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88429
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88430
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
88421884228842388424884258842688427884288842988430