Displaying 13031-13040 of 1611142 results.
ID:
13031
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13032
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13033
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
13034
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13035
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
13036
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13037
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13038
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13039
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13040
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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