Displaying 91731-91740 of 1611142 results.
ID:
91731
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91732
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91733
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91734
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91735
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91736
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91737
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91738
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91739
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91740
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
91731917329173391734917359173691737917389173991740