Displaying 11311-11320 of 1611142 results.
ID:
11311
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11312
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11313
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11314
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11315
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11316
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11317
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11318
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11319
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11320
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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