Displaying 94431-94440 of 1611142 results.
ID:
94431
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
94432
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
94433
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
94434
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94435
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94436
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94437
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94438
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94439
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94440
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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