Displaying 13271-13280 of 1611142 results.
ID:
13271
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13272
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13273
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13274
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13275
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
13276
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
13277
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13278
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13279
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13280
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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