Displaying 91921-91930 of 1611142 results.
ID:
91921
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91922
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91923
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91924
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91925
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91926
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91927
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91928
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91929
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
91930
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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