Displaying 93551-93560 of 1611142 results.
ID:
93551
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93552
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93553
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93554
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93555
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93556
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93557
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
93558
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93559
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
93560
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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