Displaying 97131-97140 of 1611142 results.
ID:
97131
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97132
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97133
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97134
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97135
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97136
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
97137
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97138
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97139
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97140
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
97131971329713397134971359713697137971389713997140