Displaying 13131-13140 of 1611142 results.
ID:
13131
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13132
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13133
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13134
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
13135
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
13136
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13137
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13138
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13139
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13140
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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