Displaying 91221-91230 of 1611142 results.
ID:
91221
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
91222
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
91223
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
91224
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
91225
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
91226
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91227
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91228
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91229
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91230
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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