Displaying 13451-13460 of 1611142 results.
ID:
13451
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13452
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13453
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13454
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13455
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13456
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13457
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13458
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13459
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13460
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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