Displaying 88761-88770 of 1611142 results.
ID:
88761
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
88762
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
88763
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
88764
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88765
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88766
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
88767
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88768
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88769
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88770
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
88761887628876388764887658876688767887688876988770