Displaying 93061-93070 of 1611142 results.
ID:
93061
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93062
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93063
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
93064
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93065
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93066
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93067
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93068
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93069
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93070
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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