Displaying 92501-92510 of 1611142 results.
ID:
92501
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92502
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92503
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92504
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92505
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92506
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92507
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92508
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92509
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92510
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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