Displaying 13351-13360 of 1611142 results.
ID:
13351
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13352
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13353
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
13354
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
13355
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
13356
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13357
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
13358
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13359
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
13360
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
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