Displaying 12661-12670 of 1611142 results.
ID:
12661
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12662
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12663
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12664
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
12665
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12666
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12667
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12668
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12669
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12670
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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