Displaying 13151-13160 of 1611142 results.
ID:
13151
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13152
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13153
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13154
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13155
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13156
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13157
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13158
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13159
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13160
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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