Displaying 93731-93740 of 1611142 results.
ID:
93731
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93732
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93733
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93734
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93735
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93736
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93737
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
93738
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
180
ID:
93739
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93740
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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