Displaying 89141-89150 of 1611142 results.
ID:
89141
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89142
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89143
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89144
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89145
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89146
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89147
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89148
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89149
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89150
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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