Displaying 93311-93320 of 1611142 results.
ID:
93311
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93312
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93313
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93314
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93315
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93316
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93317
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93318
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93319
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93320
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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