Displaying 90411-90420 of 1611142 results.
ID:
90411
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90412
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90413
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90414
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90415
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90416
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
ID:
90417
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90418
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90419
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90420
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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