Displaying 95171-95180 of 1611142 results.
ID:
95171
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
95172
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
95173
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95174
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95175
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95176
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95177
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95178
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95179
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95180
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
95171951729517395174951759517695177951789517995180