Displaying 92101-92110 of 1611142 results.
ID:
92101
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92102
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92103
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
92104
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92105
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92106
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
4
ID:
92107
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92108
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92109
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92110
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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