Displaying 96711-96720 of 1611142 results.
ID:
96711
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96712
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
96713
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96714
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96715
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96716
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796665
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96717
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604384
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96718
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96719
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96720
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96711967129671396714967159671696717967189671996720