Displaying 12561-12570 of 1611142 results.
ID:
12561
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12562
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12563
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
12564
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
12565
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12566
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12567
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12568
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12569
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12570
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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