Displaying 93611-93620 of 1611142 results.
ID:
93611
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93612
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93613
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93614
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93615
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93616
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93617
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
93618
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
93619
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
93620
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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