Displaying 91521-91530 of 1611142 results.
ID:
91521
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91522
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91523
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
91524
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
91525
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91526
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
91527
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91528
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91529
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91530
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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