Displaying 92721-92730 of 1611142 results.
ID:
92721
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92722
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92723
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92724
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
92725
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92726
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92727
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92728
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92729
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92730
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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