Displaying 96141-96150 of 1611142 results.
ID:
96141
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
96142
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
96143
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96144
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96145
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96146
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96147
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
96148
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
96149
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96150
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96141961429614396144961459614696147961489614996150