Displaying 13321-13330 of 1611142 results.
ID:
13321
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
13322
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
13323
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
13324
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13325
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13326
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13327
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13328
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13329
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13330
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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