Displaying 12071-12080 of 1611142 results.
ID:
12071
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12072
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
12073
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12074
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12075
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12076
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12077
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
12078
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
12079
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
12080
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
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