Displaying 91721-91730 of 1611142 results.
ID:
91721
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91722
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91723
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91724
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91725
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91726
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91727
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91728
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91729
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91730
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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