Displaying 92211-92220 of 1611142 results.
ID:
92211
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92212
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
92213
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
92214
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92215
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
92216
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
92217
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
92218
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92219
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
92220
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
92211922129221392214922159221692217922189221992220