Displaying 13581-13590 of 1611142 results.
ID:
13581
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13582
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13583
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13584
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13585
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13586
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13587
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13588
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13589
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13590
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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