Displaying 12951-12960 of 1611142 results.
ID:
12951
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
12952
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
12953
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
12954
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12955
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12956
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12957
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12958
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12959
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12960
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
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