Displaying 11011-11020 of 1611142 results.
ID:
11011
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11012
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11013
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11014
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11015
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11016
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11017
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11018
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11019
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11020
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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