Displaying 13301-13310 of 1611142 results.
ID:
13301
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13302
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13303
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13304
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13305
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13306
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13307
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13308
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13309
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13310
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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