Displaying 89091-89100 of 1611142 results.
ID:
89091
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89092
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89093
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89094
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
89095
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
89096
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89097
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89098
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
89099
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
89100
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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