Displaying 10621-10630 of 1611142 results.
ID:
10621
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10622
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10623
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10624
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10625
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10626
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10627
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10628
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10629
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10630
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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