Displaying 11361-11370 of 1611142 results.
ID:
11361
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11362
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11363
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11364
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11365
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11366
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11367
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11368
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11369
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11370
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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