Displaying 96931-96940 of 1611142 results.
ID:
96931
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96932
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
96933
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96934
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96935
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96936
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
433798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96937
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
433800
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96938
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
433799
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
96939
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
433801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
96940
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96931969329693396934969359693696937969389693996940