Displaying 12871-12880 of 1611142 results.
ID:
12871
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12872
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12873
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12874
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12875
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12876
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12877
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12878
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
12879
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12880
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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