Displaying 12461-12470 of 1611142 results.
ID:
12461
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12462
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12463
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12464
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12465
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12466
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12467
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12468
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12469
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12470
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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