Displaying 13601-13610 of 1611142 results.
ID:
13601
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13602
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
13603
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13604
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13605
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13606
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
13607
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
13608
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
13609
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
13610
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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