Displaying 13111-13120 of 1611142 results.
ID:
13111
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13112
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13113
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13114
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13115
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13116
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13117
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13118
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13119
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
13120
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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