Displaying 96071-96080 of 1611142 results.
ID:
96071
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96072
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96073
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96074
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96075
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96076
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96077
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96078
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96079
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96080
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96071960729607396074960759607696077960789607996080