Displaying 11931-11940 of 1611142 results.
ID:
11931
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11932
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11933
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11934
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11935
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11936
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11937
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11938
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11939
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11940
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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