Displaying 11721-11730 of 1611142 results.
ID:
11721
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
11722
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11723
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11724
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11725
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11726
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11727
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11728
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11729
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11730
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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