Displaying 93861-93870 of 1611142 results.
ID:
93861
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93862
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93863
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93864
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93865
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93866
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93867
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93868
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93869
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93870
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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