Displaying 881-890 of 1611142 results.
ID:
881
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
882
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
883
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
884
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
885
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
886
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
887
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
888
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
889
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
890
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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