Displaying 12261-12270 of 1611142 results.
ID:
12261
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12262
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12263
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12264
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12265
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12266
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12267
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12268
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
12269
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
12270
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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