Displaying 94871-94880 of 1611142 results.
ID:
94871
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94872
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94873
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94874
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94875
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94876
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
94877
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
94878
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
94879
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
94880
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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