Displaying 91891-91900 of 1611142 results.
ID:
91891
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91892
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91893
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91894
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91895
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91896
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91897
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91898
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91899
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91900
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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