Displaying 13171-13180 of 1611142 results.
ID:
13171
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13172
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
13173
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
13174
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13175
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13176
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13177
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13178
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13179
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13180
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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