Displaying 12611-12620 of 1611142 results.
ID:
12611
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12612
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12613
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12614
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12615
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12616
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12617
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12618
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12619
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12620
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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