Displaying 12021-12030 of 1611142 results.
ID:
12021
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12022
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
12023
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12024
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12025
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12026
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12027
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12028
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12029
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12030
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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