Displaying 13251-13260 of 1611142 results.
ID:
13251
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13252
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
13253
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13254
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13255
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13256
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13257
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13258
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13259
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13260
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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