Displaying 97171-97180 of 1611142 results.
ID:
97171
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
97172
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
97173
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
97174
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97175
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97176
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97177
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97178
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
97179
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
97180
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97171971729717397174971759717697177971789717997180