Displaying 12081-12090 of 1611142 results.
ID:
12081
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
25
ID:
12082
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12083
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12084
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12085
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12086
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12087
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12088
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
12089
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
12090
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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