Displaying 12211-12220 of 1611142 results.
ID:
12211
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12212
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12213
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12214
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12215
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12216
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12217
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12218
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12219
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12220
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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