Displaying 13121-13130 of 1611142 results.
ID:
13121
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13122
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13123
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13124
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13125
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13126
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
13127
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
13128
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13129
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13130
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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