Displaying 98421-98430 of 1611142 results.
ID:
98421
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
98422
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
98423
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
98424
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
98425
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
98426
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
98427
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
98428
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
98429
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
98430
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
98421984229842398424984259842698427984289842998430