Displaying 92031-92040 of 1611142 results.
ID:
92031
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92032
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92033
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92034
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92035
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92036
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92037
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92038
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
92039
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92040
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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