Displaying 91161-91170 of 1611142 results.
ID:
91161
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91162
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91163
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91164
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91165
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91166
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91167
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
91168
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91169
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91170
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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