Displaying 13051-13060 of 1611142 results.
ID:
13051
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13052
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13053
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13054
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13055
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13056
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13057
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13058
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13059
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13060
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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