Displaying 12331-12340 of 1611142 results.
ID:
12331
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
12332
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12333
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12334
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12335
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12336
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12337
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12338
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12339
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12340
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
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