Displaying 11791-11800 of 1611142 results.
ID:
11791
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11792
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11793
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11794
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11795
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11796
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11797
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11798
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11799
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11800
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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