Displaying 11581-11590 of 1611142 results.
ID:
11581
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11582
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
11583
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11584
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11585
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
11586
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
11587
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
11588
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
11589
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
11590
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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