Displaying 91151-91160 of 1611142 results.
ID:
91151
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91152
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91153
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91154
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
91155
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
91156
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
91157
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
91158
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91159
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91160
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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