Displaying 11971-11980 of 1611142 results.
ID:
11971
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11972
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11973
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
11974
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
11975
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11976
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11977
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11978
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11979
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11980
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
7
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