Displaying 11621-11630 of 1611142 results.
ID:
11621
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11622
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11623
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11624
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11625
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11626
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11627
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11628
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11629
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11630
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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