Displaying 92911-92920 of 1611142 results.
ID:
92911
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
92912
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
92913
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
92914
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
92915
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
25
ID:
92916
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92917
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92918
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92919
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
92920
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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