Displaying 90401-90410 of 1611142 results.
ID:
90401
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90402
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90403
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
90404
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
90405
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90406
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90407
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
90408
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90409
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90410
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
90401904029040390404904059040690407904089040990410