Displaying 10921-10930 of 1611142 results.
ID:
10921
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10922
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10923
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10924
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10925
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10926
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10927
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10928
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10929
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
10930
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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