Displaying 95331-95340 of 1611142 results.
ID:
95331
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95332
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95333
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95334
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
95335
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
95336
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
95337
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
95338
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
95339
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
95340
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
95331953329533395334953359533695337953389533995340