Displaying 91371-91380 of 1611142 results.
ID:
91371
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91372
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91373
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91374
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91375
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91376
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91377
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91378
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91379
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
91380
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
91371913729137391374913759137691377913789137991380