Displaying 13261-13270 of 1611142 results.
ID:
13261
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
13262
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
13263
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
13264
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
13265
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
13266
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
13267
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
13268
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13269
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13270
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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