Displaying 10831-10840 of 1611142 results.
ID:
10831
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10832
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10833
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10834
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10835
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10836
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10837
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10838
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10839
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10840
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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