Displaying 12981-12990 of 1611142 results.
ID:
12981
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
168
ID:
12982
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12983
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
12984
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12985
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12986
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
312
Qty Limit Days:
30
ID:
12987
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12988
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12989
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
12990
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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