Displaying 89191-89200 of 1611142 results.
ID:
89191
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89192
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
89193
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
89194
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
ID:
89195
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
89196
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
89197
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
89198
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89199
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89200
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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