Displaying 95941-95950 of 1611142 results.
ID:
95941
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
95942
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95943
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95944
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
578018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95945
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95946
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
95947
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95948
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95949
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
95950
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
95941959429594395944959459594695947959489594995950