Displaying 11301-11310 of 1611142 results.
ID:
11301
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11302
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11303
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11304
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
11305
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11306
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11307
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11308
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11309
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11310
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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