Displaying 91281-91290 of 1611142 results.
ID:
91281
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91282
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91283
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91284
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91285
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91286
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91287
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91288
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
91289
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
91290
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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