Displaying 91981-91990 of 1611142 results.
ID:
91981
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91982
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91983
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91984
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91985
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91986
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
91987
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
91988
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
91989
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91990
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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