Displaying 11641-11650 of 1611142 results.
ID:
11641
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11642
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11643
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11644
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11645
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11646
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11647
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11648
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11649
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11650
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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