Displaying 91821-91830 of 1611142 results.
ID:
91821
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91822
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91823
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91824
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91825
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
91826
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91827
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91828
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91829
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91830
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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