Displaying 89311-89320 of 1611142 results.
ID:
89311
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
89312
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
89313
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89314
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89315
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89316
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89317
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89318
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89319
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89320
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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