Displaying 90491-90500 of 1611142 results.
ID:
90491
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
90492
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90493
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90494
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90495
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90496
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90497
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90498
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90499
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90500
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
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