Displaying 11021-11030 of 1611142 results.
ID:
11021
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11022
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11023
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11024
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11025
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11026
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11027
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11028
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11029
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11030
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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