Displaying 93741-93750 of 1611142 results.
ID:
93741
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
93742
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93743
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93744
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
93745
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93746
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93747
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93748
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93749
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93750
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
93741937429374393744937459374693747937489374993750