Displaying 88531-88540 of 1611142 results.
ID:
88531
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88532
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88533
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88534
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88535
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88536
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88537
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88538
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88539
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88540
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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