Displaying 90701-90710 of 1611142 results.
ID:
90701
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
857461
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90702
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90703
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
90704
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90705
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90706
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90707
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90708
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90709
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90710
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
90701907029070390704907059070690707907089070990710