Displaying 91411-91420 of 1611142 results.
ID:
91411
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91412
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91413
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91414
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91415
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
91416
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
91417
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91418
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91419
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91420
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
994237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
91411914129141391414914159141691417914189141991420