Displaying 10571-10580 of 1611142 results.
ID:
10571
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10572
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10573
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10574
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10575
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10576
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
10577
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
10578
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
10579
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
10580
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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