Displaying 13241-13250 of 1611142 results.
ID:
13241
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13242
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13243
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13244
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
13245
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
13246
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
13247
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13248
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
13249
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13250
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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