Displaying 12041-12050 of 1611142 results.
ID:
12041
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12042
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12043
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12044
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12045
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12046
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
12047
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12048
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12049
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12050
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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