Displaying 12311-12320 of 1611142 results.
ID:
12311
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12312
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12313
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12314
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12315
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12316
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12317
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12318
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12319
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12320
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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