Displaying 91671-91680 of 1611142 results.
ID:
91671
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91672
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91673
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91674
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91675
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91676
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91677
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91678
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91679
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91680
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
91671916729167391674916759167691677916789167991680