Displaying 12421-12430 of 1611142 results.
ID:
12421
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12422
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12423
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12424
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12425
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12426
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12427
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12428
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
12429
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
12430
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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