Displaying 12711-12720 of 1611142 results.
ID:
12711
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12712
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
12713
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12714
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12715
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12716
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12717
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12718
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12719
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12720
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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