Displaying 10341-10350 of 1611142 results.
ID:
10341
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10342
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10343
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10344
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10345
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10346
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10347
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
10348
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10349
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10350
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
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