Displaying 12771-12780 of 1611142 results.
ID:
12771
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12772
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
12773
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12774
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12775
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12776
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12777
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12778
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12779
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12780
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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