Displaying 13441-13450 of 1611142 results.
ID:
13441
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13442
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13443
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13444
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13445
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13446
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13447
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13448
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13449
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
135
Qty Limit Days:
30
ID:
13450
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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