Displaying 10441-10450 of 1611142 results.
ID:
10441
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
10442
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
10443
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
10444
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
10445
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
10446
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10447
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10448
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
10449
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
10450
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
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