Displaying 11881-11890 of 1611142 results.
ID:
11881
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11882
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11883
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11884
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
11885
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
11886
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11887
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
11888
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
11889
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
11890
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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