Displaying 97631-97640 of 1611142 results.
ID:
97631
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
97632
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97633
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97634
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97635
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97636
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97637
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97638
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97639
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
97640
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
97631976329763397634976359763697637976389763997640