Displaying 91991-92000 of 1611142 results.
ID:
91991
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91992
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
91993
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
91994
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
91995
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91996
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
91997
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91998
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
91999
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
92000
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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