Displaying 12161-12170 of 1611142 results.
ID:
12161
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
12162
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12163
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12164
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
12165
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
12166
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
12167
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12168
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12169
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12170
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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