Displaying 12171-12180 of 1611142 results.
ID:
12171
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
12172
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12173
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
12174
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12175
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12176
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12177
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12178
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12179
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12180
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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