Displaying 91971-91980 of 1611142 results.
ID:
91971
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91972
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91973
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
91974
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91975
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91976
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91977
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91978
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91979
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91980
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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