Displaying 12751-12760 of 1611142 results.
ID:
12751
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12752
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12753
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12754
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12755
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
12756
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12757
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
12758
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
12759
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12760
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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