Displaying 93221-93230 of 1611142 results.
ID:
93221
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93222
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93223
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93224
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93225
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
93226
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
93227
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
93228
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
93229
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93230
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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