Displaying 90201-90210 of 1611142 results.
ID:
90201
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90202
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90203
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90204
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90205
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90206
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90207
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
90208
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
90209
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90210
Formulary ID:
00021031
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
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