Displaying 89421-89430 of 1611142 results.
ID:
89421
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89422
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89423
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89424
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89425
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89426
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89427
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89428
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89429
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89430
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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