Displaying 92131-92140 of 1611142 results.
ID:
92131
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
92132
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92133
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92134
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92135
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92136
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92137
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92138
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
92139
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92140
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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