Displaying 10361-10370 of 1611142 results.
ID:
10361
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10362
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10363
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10364
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
10365
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10366
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10367
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10368
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10369
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
10370
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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