Displaying 90481-90490 of 1611142 results.
ID:
90481
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90482
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
90483
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90484
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90485
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90486
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90487
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90488
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
90489
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
90490
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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