Displaying 91751-91760 of 1611142 results.
ID:
91751
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91752
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91753
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91754
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91755
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91756
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91757
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91758
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91759
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91760
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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