Displaying 13431-13440 of 1611142 results.
ID:
13431
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
13432
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13433
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13434
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13435
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13436
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13437
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13438
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13439
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
13440
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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