Displaying 10171-10180 of 1611142 results.
ID:
10171
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10172
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10173
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10174
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10175
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10176
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10177
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10178
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10179
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
10180
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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