Displaying 13481-13490 of 1611142 results.
ID:
13481
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13482
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13483
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
13484
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13485
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13486
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13487
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13488
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13489
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13490
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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