Displaying 91911-91920 of 1611142 results.
ID:
91911
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
91912
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91913
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91914
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91915
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91916
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91917
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91918
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91919
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91920
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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