Displaying 12901-12910 of 1611142 results.
ID:
12901
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12902
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12903
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12904
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12905
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12906
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
ID:
12907
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421461
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12908
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12909
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12910
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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