Displaying 88921-88930 of 1611142 results.
ID:
88921
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88922
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88923
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
88924
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
88925
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88926
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88927
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88928
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88929
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
88930
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
88921889228892388924889258892688927889288892988930