Displaying 10701-10710 of 1611142 results.
ID:
10701
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10702
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10703
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10704
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10705
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10706
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10707
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10708
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10709
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10710
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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