Displaying 89461-89470 of 1611142 results.
ID:
89461
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89462
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89463
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89464
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89465
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89466
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89467
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89468
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
89469
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89470
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
89461894628946389464894658946689467894688946989470