Displaying 97581-97590 of 1611142 results.
ID:
97581
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
97582
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97583
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
97584
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97585
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97586
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97587
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97588
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97589
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97590
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97581975829758397584975859758697587975889758997590