Displaying 93211-93220 of 1611142 results.
ID:
93211
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93212
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
93213
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
93214
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93215
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93216
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93217
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93218
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93219
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93220
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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