Displaying 92141-92150 of 1611142 results.
ID:
92141
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92142
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
92143
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92144
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92145
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92146
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92147
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92148
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92149
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92150
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
92141921429214392144921459214692147921489214992150