Displaying 12481-12490 of 1611142 results.
ID:
12481
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12482
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12483
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12484
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12485
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12486
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12487
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12488
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12489
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12490
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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