Displaying 13021-13030 of 1611142 results.
ID:
13021
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
13022
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
13023
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13024
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
13025
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
13026
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
13027
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13028
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
13029
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13030
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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