Displaying 11461-11470 of 1611142 results.
ID:
11461
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
11462
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
11463
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11464
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
11465
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
11466
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
11467
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11468
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11469
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11470
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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