Displaying 89411-89420 of 1611142 results.
ID:
89411
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89412
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89413
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89414
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89415
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89416
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89417
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89418
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89419
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89420
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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