Displaying 91241-91250 of 1611142 results.
ID:
91241
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91242
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91243
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91244
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91245
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91246
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91247
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91248
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91249
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91250
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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