Displaying 91651-91660 of 1611142 results.
ID:
91651
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91652
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91653
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91654
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91655
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91656
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91657
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91658
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91659
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91660
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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