Displaying 93371-93380 of 1611142 results.
ID:
93371
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93372
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
93373
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
93374
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
93375
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93376
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93377
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
93378
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
93379
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93380
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
93371933729337393374933759337693377933789337993380