Displaying 11871-11880 of 1611142 results.
ID:
11871
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11872
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11873
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11874
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11875
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11876
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11877
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11878
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11879
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11880
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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