Displaying 11501-11510 of 1611142 results.
ID:
11501
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11502
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
11503
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
11504
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
11505
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11506
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11507
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11508
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
11509
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11510
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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