Displaying 90711-90720 of 1611142 results.
ID:
90711
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90712
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90713
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90714
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90715
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90716
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90717
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90718
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90719
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90720
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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