Displaying 88631-88640 of 1611142 results.
ID:
88631
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88632
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88633
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88634
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88635
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88636
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88637
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88638
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
88639
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88640
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
88631886328863388634886358863688637886388863988640