Displaying 13471-13480 of 1611142 results.
ID:
13471
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13472
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13473
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13474
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13475
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13476
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13477
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13478
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13479
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13480
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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