Displaying 10031-10040 of 1611142 results.
ID:
10031
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10032
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10033
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
10034
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10035
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10036
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10037
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10038
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10039
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10040
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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