Displaying 13571-13580 of 1611142 results.
ID:
13571
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13572
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13573
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13574
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
13575
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
13576
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
13577
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
13578
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13579
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13580
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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