Displaying 96961-96970 of 1611142 results.
ID:
96961
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96962
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96963
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96964
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96965
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96966
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96967
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96968
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96969
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
96970
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
96961969629696396964969659696696967969689696996970