Displaying 91231-91240 of 1611142 results.
ID:
91231
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91232
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91233
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91234
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91235
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91236
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91237
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91238
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91239
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91240
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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