Displaying 11391-11400 of 1611142 results.
ID:
11391
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
11392
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
19
Qty Limit Days:
30
ID:
11393
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11394
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11395
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11396
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
11397
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
11398
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11399
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11400
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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