Displaying 12921-12930 of 1611142 results.
ID:
12921
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12922
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12923
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12924
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12925
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12926
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12927
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
12928
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
12929
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12930
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
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