Displaying 99601-99610 of 1611142 results.
ID:
99601
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99602
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
99603
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99604
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99605
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99606
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99607
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99608
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99609
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
99610
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
99601996029960399604996059960699607996089960999610