Displaying 13331-13340 of 1611142 results.
ID:
13331
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13332
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13333
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13334
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13335
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13336
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13337
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13338
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13339
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13340
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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