Displaying 94711-94720 of 1611142 results.
ID:
94711
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
94712
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94713
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94714
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94715
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94716
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94717
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94718
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94719
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94720
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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