Displaying 96911-96920 of 1611142 results.
ID:
96911
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
96912
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96913
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96914
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96915
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96916
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96917
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96918
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96919
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96920
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96911969129691396914969159691696917969189691996920