Displaying 97001-97010 of 1611142 results.
ID:
97001
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
97002
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
97003
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97004
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97005
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97006
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97007
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97008
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97009
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97010
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97001970029700397004970059700697007970089700997010