Displaying 13101-13110 of 1611142 results.
ID:
13101
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13102
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13103
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13104
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13105
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13106
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13107
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13108
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13109
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13110
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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