Displaying 90271-90280 of 1611142 results.
ID:
90271
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
90272
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
90273
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
90274
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
90275
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
90276
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
90277
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
90278
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
90279
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90280
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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