Displaying 91211-91220 of 1611142 results.
ID:
91211
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91212
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91213
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91214
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91215
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91216
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91217
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
91218
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
91219
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
91220
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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