Displaying 96011-96020 of 1611142 results.
ID:
96011
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
96012
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
96013
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
96014
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
96015
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
96016
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
96017
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96018
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
96019
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
96020
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
96011960129601396014960159601696017960189601996020