Displaying 11401-11410 of 1611142 results.
ID:
11401
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11402
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11403
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
11404
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11405
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11406
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
11407
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11408
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11409
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11410
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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