Displaying 88321-88330 of 1611142 results.
ID:
88321
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88322
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88323
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88324
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88325
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88326
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88327
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88328
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88329
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
88330
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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