Displaying 12511-12520 of 1611142 results.
ID:
12511
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12512
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12513
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12514
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12515
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12516
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12517
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
12518
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12519
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12520
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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