Displaying 92861-92870 of 1611142 results.
ID:
92861
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92862
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92863
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92864
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
92865
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198318
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
92866
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
92867
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
92868
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92869
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92870
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
92861928629286392864928659286692867928689286992870