Displaying 10961-10970 of 1611142 results.
ID:
10961
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10962
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10963
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10964
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10965
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10966
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10967
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10968
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10969
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10970
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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