Displaying 9971-9980 of 1611142 results.
ID:
9971
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
9972
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9973
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
9974
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
9975
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
9976
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
9977
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
9978
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9979
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9980
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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