Displaying 12061-12070 of 1611142 results.
ID:
12061
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12062
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12063
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12064
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12065
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12066
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12067
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12068
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12069
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12070
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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