Displaying 11431-11440 of 1611142 results.
ID:
11431
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11432
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11433
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11434
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11435
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11436
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11437
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11438
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11439
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11440
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
180
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