Displaying 13231-13240 of 1611142 results.
ID:
13231
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13232
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13233
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13234
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13235
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13236
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
13237
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13238
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13239
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13240
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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