Displaying 89801-89810 of 1611142 results.
ID:
89801
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89802
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89803
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
89804
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89805
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89806
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
89807
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89808
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89809
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
89810
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
89801898028980389804898058980689807898088980989810