Displaying 12121-12130 of 1611142 results.
ID:
12121
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12122
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12123
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12124
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12125
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12126
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
12127
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12128
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12129
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12130
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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