Displaying 94191-94200 of 1611142 results.
ID:
94191
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
94192
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
94193
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
94194
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
94195
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
94196
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
94197
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
94198
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
94199
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
94200
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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