Displaying 97231-97240 of 1611142 results.
ID:
97231
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
97232
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
97233
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97234
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
97235
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
97236
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97237
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97238
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97239
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97240
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97231972329723397234972359723697237972389723997240