Displaying 13281-13290 of 1611142 results.
ID:
13281
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
13282
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13283
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13284
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13285
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13286
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13287
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13288
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13289
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13290
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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