Displaying 13411-13420 of 1611142 results.
ID:
13411
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13412
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13413
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13414
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13415
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13416
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13417
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13418
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13419
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13420
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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