Displaying 10531-10540 of 1611142 results.
ID:
10531
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
10532
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
10533
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
10534
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10535
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10536
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10537
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10538
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10539
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10540
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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