Displaying 10521-10530 of 1611142 results.
ID:
10521
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10522
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10523
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10524
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10525
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10526
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10527
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
10528
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10529
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10530
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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