Displaying 90721-90730 of 1611142 results.
ID:
90721
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90722
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
220
Qty Limit Days:
30
ID:
90723
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90724
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90725
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90726
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90727
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90728
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90729
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90730
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
90721907229072390724907259072690727907289072990730