Displaying 90651-90660 of 1611142 results.
ID:
90651
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90652
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90653
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90654
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
90655
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
90656
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
90657
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
90658
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90659
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
90660
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
90651906529065390654906559065690657906589065990660