Displaying 97621-97630 of 1611142 results.
ID:
97621
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97622
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97623
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97624
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97625
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97626
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97627
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
97628
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
97629
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97630
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
97621976229762397624976259762697627976289762997630