Displaying 10821-10830 of 1611142 results.
ID:
10821
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10822
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10823
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
10824
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10825
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
10826
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10827
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10828
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10829
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
10830
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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