Displaying 93651-93660 of 1611142 results.
ID:
93651
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
93652
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93653
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93654
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93655
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93656
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93657
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93658
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93659
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93660
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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