Displaying 92541-92550 of 1611142 results.
ID:
92541
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92542
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
92543
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92544
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92545
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92546
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
92547
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
92548
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92549
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92550
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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