Displaying 94461-94470 of 1611142 results.
ID:
94461
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94462
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94463
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94464
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94465
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94466
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94467
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94468
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94469
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94470
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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