Displaying 11731-11740 of 1611142 results.
ID:
11731
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11732
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11733
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11734
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11735
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11736
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
11737
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
11738
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11739
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11740
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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