Displaying 12761-12770 of 1611142 results.
ID:
12761
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12762
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12763
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12764
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12765
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12766
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12767
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
12768
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
12769
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12770
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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