Displaying 11471-11480 of 1611142 results.
ID:
11471
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11472
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11473
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11474
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11475
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11476
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11477
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11478
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11479
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11480
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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