Displaying 11631-11640 of 1611142 results.
ID:
11631
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11632
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
11633
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
11634
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
11635
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
11636
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11637
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11638
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11639
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11640
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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