Displaying 97161-97170 of 1611142 results.
ID:
97161
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97162
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97163
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97164
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97165
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97166
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97167
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97168
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97169
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
97170
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97161971629716397164971659716697167971689716997170