Displaying 11781-11790 of 1611142 results.
ID:
11781
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11782
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11783
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11784
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11785
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11786
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11787
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11788
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11789
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11790
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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