Displaying 90871-90880 of 1611142 results.
ID:
90871
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90872
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90873
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90874
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90875
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90876
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90877
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90878
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90879
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90880
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
90871908729087390874908759087690877908789087990880