Displaying 93021-93030 of 1611142 results.
ID:
93021
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93022
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93023
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93024
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93025
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
93026
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93027
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93028
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93029
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
93030
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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