Displaying 12491-12500 of 1611142 results.
ID:
12491
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12492
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12493
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12494
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12495
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12496
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
12497
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12498
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12499
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12500
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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