Displaying 10481-10490 of 1611142 results.
ID:
10481
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10482
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
10483
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10484
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10485
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10486
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10487
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10488
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10489
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10490
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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