Displaying 10451-10460 of 1611142 results.
ID:
10451
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10452
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10453
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10454
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10455
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10456
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10457
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10458
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
10459
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
10460
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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