Displaying 96301-96310 of 1611142 results.
ID:
96301
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
96302
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
96303
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96304
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96305
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96306
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96307
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96308
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96309
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96310
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
96301963029630396304963059630696307963089630996310