Displaying 13591-13600 of 1611142 results.
ID:
13591
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13592
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13593
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13594
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13595
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13596
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13597
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13598
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13599
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13600
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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