Displaying 89021-89030 of 1611142 results.
ID:
89021
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89022
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89023
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89024
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89025
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89026
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89027
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89028
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89029
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89030
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
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