Displaying 13621-13630 of 1611142 results.
ID:
13621
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
13622
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
13623
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13624
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13625
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13626
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13627
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13628
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13629
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13630
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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