Displaying 11941-11950 of 1611142 results.
ID:
11941
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11942
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11943
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11944
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11945
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11946
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11947
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11948
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
11949
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11950
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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