Displaying 13361-13370 of 1611142 results.
ID:
13361
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13362
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13363
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13364
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
13365
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13366
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
13367
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13368
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13369
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13370
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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