Displaying 10371-10380 of 1611142 results.
ID:
10371
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10372
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10373
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10374
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10375
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10376
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10377
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10378
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10379
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10380
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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