Displaying 10671-10680 of 1611142 results.
ID:
10671
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10672
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10673
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10674
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10675
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
10676
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
10677
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10678
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10679
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10680
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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