Displaying 96241-96250 of 1611142 results.
ID:
96241
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96242
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96243
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96244
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96245
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96246
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96247
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96248
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96249
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96250
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96241962429624396244962459624696247962489624996250