Displaying 98011-98020 of 1611142 results.
ID:
98011
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
98012
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
98013
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
98014
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
98015
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
98016
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
98017
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
98018
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
98019
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
98020
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
98011980129801398014980159801698017980189801998020