Displaying 90951-90960 of 1611142 results.
ID:
90951
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
90952
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
90953
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
90954
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
90955
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
90956
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90957
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
90958
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
90959
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
90960
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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