Displaying 96401-96410 of 1611142 results.
ID:
96401
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
96402
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
96403
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
96404
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
96405
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
96406
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
96407
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
96408
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96409
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
96410
Formulary ID:
00021037
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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