Displaying 10271-10280 of 1611142 results.
ID:
10271
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10272
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10273
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
10274
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10275
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10276
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10277
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10278
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10279
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
10280
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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