Displaying 1291-1300 of 1611142 results.
ID:
1291
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1292
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1293
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1294
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1295
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1296
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1297
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1298
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1299
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1300
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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