Displaying 91201-91210 of 1611142 results.
ID:
91201
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91202
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91203
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91204
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
91205
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
91206
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
91207
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91208
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91209
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91210
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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