Displaying 10321-10330 of 1611142 results.
ID:
10321
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10322
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
10323
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
10324
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
10325
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
10326
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10327
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10328
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10329
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
10330
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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