Displaying 12351-12360 of 1611142 results.
ID:
12351
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12352
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12353
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12354
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12355
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12356
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12357
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12358
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12359
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399895
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12360
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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