Displaying 12991-13000 of 1611142 results.
ID:
12991
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12992
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12993
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12994
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12995
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12996
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12997
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
12998
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12999
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13000
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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