Displaying 90991-91000 of 1611142 results.
ID:
90991
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90992
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90993
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90994
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90995
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90996
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90997
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
90998
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
90999
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91000
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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