Displaying 93801-93810 of 1611142 results.
ID:
93801
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
93802
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
93803
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93804
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93805
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93806
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93807
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
93808
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93809
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
93810
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
93801938029380393804938059380693807938089380993810