Displaying 11821-11830 of 1611142 results.
ID:
11821
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11822
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11823
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11824
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11825
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11826
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
11827
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11828
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11829
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11830
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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