Displaying 13061-13070 of 1611142 results.
ID:
13061
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13062
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13063
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13064
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13065
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13066
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13067
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13068
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13069
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13070
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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