Displaying 96851-96860 of 1611142 results.
ID:
96851
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96852
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96853
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96854
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
96855
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
96856
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96857
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
96858
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96859
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96860
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
96851968529685396854968559685696857968589685996860