Displaying 93561-93570 of 1611142 results.
ID:
93561
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
93562
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93563
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93564
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93565
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
93566
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
93567
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
93568
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93569
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93570
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
93561935629356393564935659356693567935689356993570