Displaying 13521-13530 of 1611142 results.
ID:
13521
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13522
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13523
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13524
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13525
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
13526
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13527
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13528
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13529
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13530
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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