Displaying 11691-11700 of 1611142 results.
ID:
11691
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11692
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11693
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
11694
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
11695
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11696
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11697
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11698
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1112687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
11699
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11700
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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