Displaying 92121-92130 of 1611142 results.
ID:
92121
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92122
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
92123
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92124
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92125
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92126
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
92127
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
92128
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92129
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92130
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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