Displaying 99271-99280 of 1611142 results.
ID:
99271
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
99272
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99273
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99274
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99275
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99276
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99277
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99278
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99279
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99280
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
99271992729927399274992759927699277992789927999280