Displaying 92051-92060 of 1611142 results.
ID:
92051
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92052
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92053
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92054
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92055
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92056
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92057
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92058
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92059
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92060
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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