Displaying 92971-92980 of 1611142 results.
ID:
92971
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92972
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92973
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92974
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92975
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92976
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92977
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92978
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92979
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92980
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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