Displaying 93031-93040 of 1611142 results.
ID:
93031
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93032
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93033
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93034
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93035
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93036
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93037
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93038
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93039
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93040
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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