Displaying 13531-13540 of 1611142 results.
ID:
13531
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
13532
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13533
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13534
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13535
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13536
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13537
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13538
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13539
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13540
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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