Displaying 92441-92450 of 1611142 results.
ID:
92441
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92442
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92443
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92444
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92445
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92446
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92447
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92448
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92449
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92450
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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