Displaying 12801-12810 of 1611142 results.
ID:
12801
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12802
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12803
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
12804
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12805
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12806
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12807
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12808
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12809
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12810
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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