Displaying 96741-96750 of 1611142 results.
ID:
96741
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96742
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96743
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96744
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96745
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96746
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96747
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96748
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96749
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
96750
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96741967429674396744967459674696747967489674996750