Displaying 11911-11920 of 1611142 results.
ID:
11911
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11912
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11913
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11914
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11915
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11916
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11917
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11918
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11919
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11920
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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