Displaying 93601-93610 of 1611142 results.
ID:
93601
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93602
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93603
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93604
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93605
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93606
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
93607
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
93608
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93609
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93610
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
93601936029360393604936059360693607936089360993610