Displaying 96381-96390 of 1611142 results.
ID:
96381
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96382
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96383
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
96384
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
96385
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
96386
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
96387
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96388
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96389
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
96390
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
96381963829638396384963859638696387963889638996390