Displaying 91331-91340 of 1611142 results.
ID:
91331
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91332
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91333
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91334
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91335
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91336
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91337
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91338
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91339
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91340
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
91331913329133391334913359133691337913389133991340