Displaying 891-900 of 1611142 results.
ID:
891
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
892
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
893
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
894
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
895
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
896
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
897
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
898
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
899
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
900
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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