Displaying 93501-93510 of 1611142 results.
ID:
93501
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93502
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93503
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93504
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93505
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
93506
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93507
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93508
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93509
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93510
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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