Displaying 92071-92080 of 1611142 results.
ID:
92071
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
92072
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92073
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
92074
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92075
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92076
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92077
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92078
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
92079
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
92080
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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