Displaying 12961-12970 of 1611142 results.
ID:
12961
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
12962
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
12963
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
12964
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
12965
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12966
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12967
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
12968
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
12969
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
12970
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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