Displaying 91661-91670 of 1611142 results.
ID:
91661
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91662
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91663
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91664
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91665
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91666
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91667
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91668
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91669
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91670
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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