Displaying 11191-11200 of 1611142 results.
ID:
11191
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11192
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11193
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11194
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11195
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11196
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11197
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11198
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11199
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11200
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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