Displaying 91851-91860 of 1611142 results.
ID:
91851
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
91852
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91853
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91854
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91855
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91856
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91857
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91858
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91859
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91860
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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