Displaying 92871-92880 of 1611142 results.
ID:
92871
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92872
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92873
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92874
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92875
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92876
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92877
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92878
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92879
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
92880
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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