Displaying 12191-12200 of 1611142 results.
ID:
12191
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12192
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12193
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12194
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12195
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12196
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12197
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12198
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12199
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12200
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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