Displaying 88731-88740 of 1611142 results.
ID:
88731
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
88732
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
88733
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
88734
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
88735
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
88736
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
88737
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
88738
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
88739
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
88740
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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