Displaying 95601-95610 of 1611142 results.
ID:
95601
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95602
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95603
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95604
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
95605
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
95606
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
95607
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
95608
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
95609
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
95610
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
95601956029560395604956059560695607956089560995610