Displaying 99961-99970 of 1611142 results.
ID:
99961
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99962
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99963
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99964
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99965
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99966
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99967
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
99968
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99969
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99970
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
99961999629996399964999659996699967999689996999970