Displaying 12301-12310 of 1611142 results.
ID:
12301
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12302
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
12303
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
12304
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
12305
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
12306
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
12307
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12308
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12309
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12310
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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