Displaying 13081-13090 of 1611142 results.
ID:
13081
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13082
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13083
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13084
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13085
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13086
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13087
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
13088
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
13089
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13090
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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