Displaying 13291-13300 of 1611142 results.
ID:
13291
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13292
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13293
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13294
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
13295
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13296
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13297
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13298
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13299
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13300
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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