Displaying 96671-96680 of 1611142 results.
ID:
96671
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96672
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96673
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96674
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96675
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
96676
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96677
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96678
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96679
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96680
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96671966729667396674966759667696677966789667996680