Displaying 94051-94060 of 1611142 results.
ID:
94051
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94052
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94053
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94054
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
94055
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
94056
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
94057
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94058
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94059
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94060
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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