Displaying 92521-92530 of 1611142 results.
ID:
92521
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92522
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92523
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
92524
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
92525
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
92526
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92527
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92528
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92529
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
92530
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
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