Displaying 12341-12350 of 1611142 results.
ID:
12341
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
12342
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
12343
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12344
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12345
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12346
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
12347
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
12348
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12349
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12350
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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