Displaying 93321-93330 of 1611142 results.
ID:
93321
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93322
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93323
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93324
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
433798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
93325
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
433800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
93326
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
433799
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
93327
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
433801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93328
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93329
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93330
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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