Displaying 12401-12410 of 1611142 results.
ID:
12401
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
12402
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
12403
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12404
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
12405
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
12406
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
12407
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
12408
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
ID:
12409
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12410
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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