Displaying 89161-89170 of 1611142 results.
ID:
89161
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
89162
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
89163
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
89164
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
89165
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
89166
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
89167
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
89168
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
89169
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89170
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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