Displaying 90801-90810 of 1611142 results.
ID:
90801
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90802
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90803
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90804
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90805
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90806
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90807
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90808
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90809
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90810
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
90801908029080390804908059080690807908089080990810