Displaying 12221-12230 of 1611142 results.
ID:
12221
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12222
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12223
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12224
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12225
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12226
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12227
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12228
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12229
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12230
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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