Displaying 92671-92680 of 1611142 results.
ID:
92671
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92672
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92673
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92674
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
92675
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92676
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92677
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92678
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92679
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92680
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
92671926729267392674926759267692677926789267992680