Displaying 96411-96420 of 1611142 results.
ID:
96411
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
96412
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
96413
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96414
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96415
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96416
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
96417
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
96418
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
ID:
96419
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
96420
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
96411964129641396414964159641696417964189641996420