Displaying 10411-10420 of 1611142 results.
ID:
10411
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10412
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
10413
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10414
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10415
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10416
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10417
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
10418
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10419
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
10420
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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