Displaying 94721-94730 of 1611142 results.
ID:
94721
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94722
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94723
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94724
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94725
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94726
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
94727
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
94728
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
94729
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94730
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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