Displaying 13561-13570 of 1611142 results.
ID:
13561
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13562
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13563
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13564
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
13565
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13566
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13567
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13568
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13569
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13570
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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