Displaying 88401-88410 of 1611142 results.
ID:
88401
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88402
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88403
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88404
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
88405
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
88406
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88407
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
88408
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
88409
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
88410
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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