Displaying 97081-97090 of 1611142 results.
ID:
97081
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
97082
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
97083
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
97084
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97085
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97086
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97087
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97088
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97089
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97090
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97081970829708397084970859708697087970889708997090