Displaying 12391-12400 of 1611142 results.
ID:
12391
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12392
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12393
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12394
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12395
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866907
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12396
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12397
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12398
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
12399
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12400
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
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