Displaying 90471-90480 of 1611142 results.
ID:
90471
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90472
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90473
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90474
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90475
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90476
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90477
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90478
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90479
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
90480
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
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