Displaying 90561-90570 of 1611142 results.
ID:
90561
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90562
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
90563
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90564
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
90565
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
90566
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
90567
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90568
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
90569
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90570
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
90561905629056390564905659056690567905689056990570