Displaying 93011-93020 of 1611142 results.
ID:
93011
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
93012
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93013
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93014
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93015
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93016
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93017
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93018
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93019
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93020
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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