Displaying 12141-12150 of 1611142 results.
ID:
12141
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12142
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12143
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12144
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12145
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12146
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12147
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12148
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12149
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12150
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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