Displaying 92231-92240 of 1611142 results.
ID:
92231
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92232
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92233
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92234
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92235
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92236
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92237
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92238
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92239
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92240
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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