Displaying 92151-92160 of 1611142 results.
ID:
92151
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92152
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92153
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92154
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92155
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92156
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92157
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92158
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92159
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92160
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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