Displaying 96161-96170 of 1611142 results.
ID:
96161
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96162
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96163
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806890
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96164
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2184126
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
96165
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96166
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
96167
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
96168
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96169
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
96170
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
96161961629616396164961659616696167961689616996170